Individual
DR. DIANE ELIZABETH DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3626 SACRAMENTO ST, SAN FRANCISCO, CA 94118-1724
(415) 563-3920
(415) 456-2466
Mailing address
3626 SACRAMENTO ST, SAN FRANCISCO, CA 94118-1724
(415) 563-3920
(415) 456-2466
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY7418
CA
103TC0700X
Clinical Psychologist
Primary
PSY7418
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY7418
CA
Other
Enumeration date
07/21/2006
Last updated
08/01/2018
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